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TX: CodeSystem us-claim-information-category

Properties

Profile http://hl7.org/fhir/StructureDefinition/shareablecodesystem
Last updated: June 12, 2026 at 12:00:00 AM UTC
Defining URL http://terminology.hl7.org/CodeSystem/us-claim-information-category
Version 1.0.0
Name USClaimInformationCategoryCodes
Title US Claim Information Category Codes
Status active
Definition

Categories used in the United States to classify additional information supplied with a claim, representing exceptions, special circumstances, clinical conditions, events, or other contextual factors relevant to claim adjudication.
Publisher Health Level Seven International
Committee fm
Copyright This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license
EXT_FMM_LEVEL 1
Source hl7.terminology.r4#7.3.0
Value Set US Claim Information Category Codes

This case-sensitive code system http://terminology.hl7.org/CodeSystem/us-claim-information-category defines the following codes:

Code Display Definition
place-of-service Place of Service Place of service codes placed on health care claims to indicate the setting in which a service was provided.
type-of-bill Type of Bill Categorization of the type of bill.
service-facility Service Facility The facility where the service occurred.
drg DRG Identifies the Diagnosis Related Group (DRG) assigned to an inpatient stay, representing the clinical classification used for reimbursement and resource grouping.
point-of-origin Point of Origin Institutional claim Point of origin for the patient's admission or visit.
adm-type Admission Type Institutional Type of admission.
claim-frequency Claim Frequency Indicates the billing frequency or submission type of the claim, such as original, replacement, or void.
discharge-status Discharge Status Indicates the patient's status as of the discharge date for a facility stay.